Individual
MRS. AMY KATHLEEN ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
500 WILBUR AVE, SOMERSET, MA 02725-2051
(508) 675-7589
(508) 675-0132
Mailing address
500 WILBUR AVE, SOMERSET, MA 02725-2051
(508) 675-7589
(508) 675-0132
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6932
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6932
OTR LICENSE NUMBER
MA
Enumeration date
04/23/2010
Last updated
04/23/2010
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